ELGAR FAMILY DENTAL P.C.
NPI: 1932488749
· BRONX, NY 10475
· Dental Clinic/Center
· NPI assigned 08/10/2011
$263K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
917 |
$16K |
| 2019 |
1,156 |
$19K |
| 2020 |
1,881 |
$32K |
| 2021 |
3,126 |
$59K |
| 2022 |
3,214 |
$61K |
| 2023 |
2,646 |
$51K |
| 2024 |
1,363 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,614 |
2,614 |
$86K |
| D0120 |
Periodic oral evaluation - established patient |
3,289 |
3,289 |
$65K |
| D0274 |
Bitewings - four radiographic images |
1,426 |
1,426 |
$26K |
| D0220 |
Intraoral - periapical first radiographic image |
2,305 |
2,302 |
$21K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,978 |
1,977 |
$20K |
| D1120 |
Prophylaxis - child |
556 |
555 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,222 |
1,222 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
568 |
568 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
218 |
218 |
$4K |
| D1351 |
Sealant - per tooth |
34 |
12 |
$1K |
| D1999 |
|
93 |
92 |
$0.00 |